HOUSE BILL No. 5599

 

January 9, 2008, Introduced by Rep. Sak and referred to the Committee on Health Policy.

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

(MCL 333.1101 to 333.25211) by adding section 9325.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 9325. (1) Except as otherwise provided in this section,

 

before a licensed allopathic physician or osteopathic physician and

 

surgeon or an individual acting under delegatory authority and

 

supervision under section 16215 performs an assessment or

 

evaluation or refers a patient to another health professional for

 

an assessment or evaluation to determine whether the patient is

 

suffering from dementia, Alzheimer's disease, or a related

 

disorder, the physician or delegatee shall perform or cause to be

 

performed an evaluation of the patient's hearing. The hearing

 


evaluation under this section shall meet all of the following

 

requirements:

 

     (a) Be performed by a health professional licensed or

 

registered under this act whose education, training, or experience

 

make him or her qualified to perform the hearing evaluation or be

 

performed by an individual licensed in the practice of selling or

 

fitting a hearing aid under the occupational code, 1980 PA 299, MCL

 

339.101 to 339.2919.

 

     (b) Be a tone test utilizing an audiometric device or other

 

device approved by the department.

 

     (2) If a hearing evaluation performed under this section

 

indicates that the patient does not have a hearing impairment, the

 

physician or delegatee may perform an assessment or evaluation or

 

refer a patient to another health professional for an assessment or

 

evaluation to determine whether the patient is suffering from

 

dementia, Alzheimer's disease, or a related disorder. If a hearing

 

evaluation performed under this section indicates that the patient

 

has a hearing impairment, the physician or delegatee shall not

 

perform an assessment or evaluation or refer a patient to another

 

health professional for an assessment or evaluation to determine

 

whether the patient is suffering from dementia, Alzheimer's

 

disease, or a related disorder until the patient's hearing

 

impairment has been treated. If, after a patient's hearing

 

impairment has been treated, the physician or delegatee, in his or

 

her best medical judgment, believes that an evaluation to determine

 

whether the patient is suffering from dementia, Alzheimer's

 

disease, or a related disorder is necessary, the physician or

 


delegatee may perform the assessment or evaluation or refer a

 

patient to another health professional for the assessment or

 

evaluation.

 

     (3) This section does not apply to any of the following:

 

     (a) A patient who has a known hearing impairment and who has

 

received treatment for that hearing impairment within the past 3

 

years.

 

     (b) A patient whose hearing was medically evaluated during the

 

6-month period preceding the assessment or evaluation to determine

 

whether the patient is suffering from dementia, Alzheimer's

 

disease, or a related disorder.

 

     (c) A patient who declines in writing, or whose patient's

 

representative declines in writing, the hearing evaluation.

 

     Enacting section 1. This amendatory act takes effect January

 

1, 2008.